Oro Valley Medicaid payments for National Codes Established for State Medicaid Agencies reach $750,720 in 2024

Oro Valley Medicaid providers billed $750,720 for services under the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 4.8% increase over 2023, when providers filed $716,144 in claims for the same classification of services.

Medicaid is a state-administered public health insurance program, financed jointly by federal and state governments. It offers coverage to low-income individuals and families, children, seniors, and people with disabilities, making it an integral part of the U.S. health care system.

Fluctuations in local Medicaid billing levels signal shifts in the allocation of taxpayer-funded public health dollars within the community.

The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid services that are organized by care type, following standardized HCPCS and CPT code standards. Each code was placed in a single service grouping based on prefixes and numeric series, ensuring analysis accuracy without overlapping counts and supporting precise rankings over time.

Medicaid expenditures climbed in several categories; for Oro Valley in 2024, National Codes Established for State Medicaid Agencies was the second largest by total Medicaid payments.

Statewide in Arizona, National Codes Established for State Medicaid Agencies topped all service categories in total Medicaid payments in 2024.

Looking at the five-year period leading up to 2024, Medicaid payments attributed to National Codes Established for State Medicaid Agencies in Oro Valley rose by $82,486, a 9.9% gain. Certain years, including 2020 and 2023, saw sharper year-over-year increases amid periods of accelerated spending growth.

Within the city, while some dispersal of spending occurred, Medicaid care payments in this category were highly concentrated among specific ZIP codes. For 2024, ZIP code 85755 accounted for $702,454 and 85704 for $48,265—these two ZIP codes combined represented 100% of Medicaid spending in this category in Oro Valley that year.

Medicaid payments for this service category were further focused among only a handful of individual billing codes.

For comparison, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Oro Valley increased by 4.8% between 2024 and 2023, versus a 20.8% change among all Medicaid categories in the city for that same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures rose to about $871.7 billion in fiscal 2023, representing nearly 18% of total national health spending—up from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth amounts to a roughly 40% increase in just a few years, largely driven by broader enrollment and greater service use, especially during and following the pandemic.

Federally, recent budget measures enacted during the Trump administration introduced extensive proposals to reduce federal Medicaid funding and alter program structures. The “One Big Beautiful Bill Act,” signed in 2025, is expected to trim over $1 trillion in federal Medicaid funding over the next decade through provisions such as new work requirements and higher cost-sharing, potentially reducing benefits or funding for certain enrollees. The result projects a rise in costs passed to states and restricted growth of federal support for Medicaid, even as the program provides coverage to millions nationwide.

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.